ADC Practice Question — Treating Patients with BBV

Why is ignoring a sharps injury unacceptable for a…

Infection control in the ADC exam tests decision-making around exposure incidents, instrument classification, and decontamination protocols. This exam-level vignette tests your ability to work through clinical details and arrive at the correct management.

A colleague suggests that sharps injuries are so common it is easier to just wash the wound and forget about it. Why is ignoring a sharps injury unacceptable for a dental professional?

A. Only injuries from known HIV-positive patients matter
B. It is acceptable to ignore minor injuries
C. PEP can reduce HIV transmission risk by over 80%
D. The risk is too small to worry about

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Sources cited

Therapeutic Guidelines v4 Odell's 3rd & 4th Ed IADT 2020 Code of Conduct CMS (Evans) Infection Control + more

Show the answer and cited explanation

Correct answer: C

Ignoring a sharps injury is both clinically reckless and professionally unacceptable. The practical reason is that PEP's 81% risk reduction requires timely action. The ethical reason is that an infected dentist could unknowingly transmit BBVs to patients and partners — this constitutes a serious breach of duty of care. The legal reason is that undocumented injuries cannot support compensation claims. The professional reason is that regulatory bodies expect healthcare workers to follow national guidelines and protect patients.

Source: Odell 4th Ed, Case 31: Ouch (Sharps Injury)

Remy's study tip — The differentiator is usually the Spaulding classification level or the step order in a protocol.

Exam preparation FAQ

How are Treating Patients with BBV questions structured in the ADC written exam?

ADC Treating Patients with BBV questions present as clinical vignettes requiring management decisions. The correct answer is always traceable to a guideline source.

Should I memorise guidelines word-for-word for Treating Patients with BBV?

Focus on decision points — when the guideline says X vs Y. The exam tests application, not recitation.

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